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• W2788892013 abstract "INTRODUCTION :“When you solve one difficulty, other new difficulties arise. You thentry to solve them. You can never solve all difficulties at once”- P.A.M.CHIRAC.It is this spirit of learning more about how echocardiography can beused to evaluate Right ventricle function in pulmonary hypertensionpatients, which helps us. With multivarious etiologies causing pulmonaryhypertension, making an accurate diagnosis, evaluating for the cause,monitoring the disease course and detecting complications of the diseasehas always been a challenge. Selecting the most appropriate for screening,diagnosing and monitoring the disease has been a subject of controversy.Although there is no consistent and large data available in Indiarevealing the exact incidence and prevalence of the disease, the increasein disease burden is certainly palpable and will continue to increase withtime. With high mortality rates if left untreated and with very littletreatment options in our hands, it definitely poses a challenge to themedical fraternity for an early diagnosis and intervention beforecomplications intervene. Most common cause of death in pulmonaryhypertension is right ventricular failure. Unfortunately most patientspresent to us too late for any kind of meaningful intervention.So as physicians, it is important for us to play a critical role in theevaluation of the use of appropriate diagnostic procedures and therapymodalities in the early detection and treatment of this disease. Rigorousand expert analogues of the available data that document the relativebenefits and risks of the procedures can produce helpful guidelines thatimprove the effectiveness of care optimize patient outcomes andfavourably affect the overall cost of care through a focus of resources onthe most effective strategies.AIMS AND OBJECTIVES :To study the clinical profile of Idiopathic Pulmonary Hypertension patients.To study the utility of echocardiography in assessing the right ventricular function in patients with idiopathic pulmonary hypertension.To measure the Pulmonary artery systolic pressure in Idiopathic Pulmonary hypertension using Doppler Echocardiography.To assess the structural abnormalities of the heart in patients with idiopathic pulmonary hypertension.To study the correlation between the clinical grading of severityand echocardiographic grading of pulmonary hypertension.CONCLUSIONS :We conclude that our study population also has a strong femalepreponderance and has a relatively earlier onset of the disease in the 3rd orthe 4th decade.The study also indicates that right ventricular abnormalities occursin patients with chronic idiopathic pulmonary hypertension and is stronglycorrelated with right atrial dimensions, right ventricular size and mainpulmonary artery size, which are all increased with increasing severity inpulmonary hypertension.Other structural abnormalities in pulmonary hypertension includepresence of pericardial effusion, paradoxical septal motion of IVS andpulmonary valve abnormalities (absent ‘a’ wave and presence of midsystolic notch or closure).In addition, right ventricular functional abnormalities including RVFAC and RV MPI are associated with disease severity and it correlateswell with pulmonary hypertension severity index, World HealthOrganization class. RV FAC decreases with increase in severity ofpulmonary hypertension and MPI increases with increases with increasein PASP.Right ventricular dysfunction is clearly evident even with mildelevations in the pulmonary artery systolic pressure and Dopplerechocardiography is the test of choice in patients suspected to haveIdiopathic Pulmonary artery hypertension." @default.
• W2788892013 created "2018-03-06" @default.
• W2788892013 creator A5083608111 @default.
• W2788892013 date "2009-08-01" @default.
• W2788892013 modified "2023-09-26" @default.
• W2788892013 title "Assessment of Right Ventricular function by Echocardiography in Pulmonary Hypertension." @default.
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